South Coast Dental Group Llc

NPI: 1790096402

South Coast Dental Group Llc

Q: What is South Coast Dental Group Llc's NPI number?

South Coast Dental Group Llc's NPI number is 1790096402, a unique 10-digit identifier issued by CMS.

Q: What does South Coast Dental Group Llc specialize in?

South Coast Dental Group Llc specializes in Dentistry, taxonomy code 122300000X.

Q: Where does South Coast Dental Group Llc practice?

South Coast Dental Group Llc practices in Coos Bay, OR 97420-4623.

Q: When was South Coast Dental Group Llc's NPI issued?

South Coast Dental Group Llc's NPI was issued on June 28, 2010.

Q: What is South Coast Dental Group Llc's provider type?

South Coast Dental Group Llc is an Organization under CMS NPI Type 2.

ActiveOrganizationDentistry

NPI issued: June 28, 2010

Quick Facts

NPI Number

1790096402

TypeOrganization

StatusActive

SpecialtyDentistry

Taxonomy122300000X — Dentistry

Phone

(541) 269-5353

StateOR

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1790096402)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (June 28, 2010)

Data source: CMS NPPES

Provider Overview

SOUTH COAST DENTAL GROUP LLC is a Dentistry provider based in Coos Bay, OR who has been registered with CMS since 2010. They are affiliated with South Coast Family Dentistry, South Coast Family Dentistry, and South Coast Dental Group. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1790096402

Provider TypeOrganization

StatusActive

Enumeration DateJune 28, 2010

Practice Location

CityCoos Bay

StateOR

ZIP Code97420-4623

Phone(541) 269-5353

Specialties & Licenses

★ Primary

SpecialtyDentistry

Taxonomy Code122300000X

License StateOR

Mailing Address

CityCoos Bay

StateOR

ZIP Code97420-4623

Phone(541) 269-5353

Same as practice location

Hospital & Organization Affiliations

🏢

South Coast Family Dentistry

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🏢

South Coast Family Dentistry

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🏢

South Coast Dental Group

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How to Use This NPI

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For Insurance Billing

Use NPI 1790096402 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1790096402for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1790096402 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

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